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20030228.pdfDATE RECEIVED .07 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS Alt- 'e" x ADDRESSF 100, -15 04!:8v TELEPHONE &01,rA 0,5'40@5 �111 /1� - 3 1 1 PERMIT EXPIRES _LL' USE PERMIT , ;4 ZONE NUMBER :013 SUIT ADDRESS SZ'e, PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Pern* Required Street Use Paffnft Wd EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT Underground Wiring required CI METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESE3 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE BY DATE FIRE REVIEWED BY DATE I I'm", zdzza?n &54,q& Or VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE I SHECKEErBY REO'D I POSTED I '?/5, E3 YES ONO C &6aa1WA,Y Vw&4 SEPA REVIEW SIGN AREA. HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. UUMPLhit: EXEM13T ALLOWED PROPOSED ALLOWED PROPOSED Al Exp , , E] RESIDENTIAL w1eum SING / MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) NEW ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR 2 COMPLIANCE OR z ADDITION weo"MMERCIAL CHANGE OF USE I PARKING LOT AREA PLANNING REVIEWED BY DATE El REMODEL MULTIFAMILY SIGN REOD PROVIDED I [3 GRADING FENCE REPAIR CYDS ( X Fr) REMARKS DEMOLISH TANK OTHER GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (PE OF USE, BUSINESS OR ACTIV" EXPLAIN: CHECKED BY CONSTR1,11cTiful OCCUPANT -Ali AMBER GROUP OF N9MBER OF DWELLING CRITICAL AREAS SPECIAL INSPECTION fAREA OCCUPANT STORIES UNITS NUMBER REQUIRED []YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 1212P221 .4 VALUATION $ Description FEE Description FEE Plan Chec k State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % VESTED DATE *Building Permit Plumbing City Surcharge 67— PLAN CHECK NO: Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) VIILL REQUIRE SFPARIATE PERMISSION. Engr. Review PERMIT APPLICATION: 180DAYS 136 PERMIT LIMM I YEAR - PROVIDED WORK IS STAffrED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY: DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due 9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Receipt # Recording Fee I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOJI..QODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building 011icial or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORn�q�COMPENSA?""CE AND RCW 18.27. 0 AWN ALE,, DATE RE (OWN 0 DA7/1 IA05 A/DATE 771-022 0 :n T RELEASED BY ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTiFl- ORIGINALQE4 - YELLOV/INS6ECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .., ................... FOUNDATION: Footing ...................... Wall.......................... Z. Pier/Porch ................. C) Retaining Wall: ........... Slab Insulation .......... PLUMBING: M, Underground............. M 0 Rough -In I ................... Cbmmercial'Flnal ...... M HEATING: GasTest C .................... Cal "Gas Piping ................. 0 -n Equipment ................. commercial Final ..... EXTERIOR SHEATHING rh C :.NAILING .......................... Al C); FRAMING ........................ FIRST FLOOR FRAMING... INSULATION .................... Floor Insulation ......... Wall Insulation ........... Z'L Ceiling Insulation ....... SHEETROCK NAILING ... M SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. h - %do I DATE RECE2�', PERMIT EXPIRES e J/ USE PERMIT ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS a SUITE/of OWNER NAMEfNAME OF BUSINESS "/ Liz: la2 ma n;1Ej— &bymbs eo�la PLAT NAME/SUBD[VISION NO. LOT NO. LID NO. 15 MAILING ADDRESS LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESGP AP RW Perrros! street use Perm aq CITY ZIP TELEPHONE EXISTING — PROPOSED hupecition Requkad Sidewalk Required a.E.- REQUIRED DEDICATION— FT Underground Widnilrequired 13 NAME METER SIZE LINE Slii7NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 ADDRESS' REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE CITY ZIP TELEPHONE NAME CBLff, CZ-411,1hial ",o,-se,1,-- ,"/- ",2 1 Id ENGINEERING REVIEWED BY DATE Alz�-?r —2=,t7-Z6e FIRE REVIEWED BY DATE CiTY ZIP TELEPHONE IZ If VARIANCE OR Cu SHORELINE OR ADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE I CHEcKEffBY REO'D POSTED 10YES �kz-,4h '71-5 ONO $ a.:�zz� V-&a SEPA REVIEW SIGN AREA HEIGHT 3ROPERTY TAX ACCOUNT PARCEL NO. UUMPLElt: EXEMPT ALLOWED PROPOSED ALLOWED PROP08ED lgrjzO 9ZZk& , I I 4212 EXP NEW RESIDENTIAL P4U10MBlNG/MECH LOT COVERAGE --- REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) SIDE REAR FRONT LIRSIDE REAR ALLOWED PROPOSED FRONT COMPLIANCE OR ADDITION G40M MERCiAL 13 CHANGE OF USE I PARKING LOT AREA PLANNING REVIEWED BY DATE 0 REMODEL 0 MULTIFAMILY siGN RE(YD I PROVIDED 0 REPAIR 0 GRADING FENCE CYD-S C X Fr) REMARKS DEMOLISH TANK OTHER oGARAGE [3 RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (PE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY corm OCCUPANT ITYP;EOFONSTRUCTI GROUP TUMBER OF NUMBER OF DWELLING CRITICAL AREAS SPECIAL INSPECT1077 OCCUPANT STORIES UNITS NUMBER REQUIRED [3 YES LOAD DESCR18E WORK TO BE DONE REMARK PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % VESTED DATE Building Permit Plumbing City'Surcharge PLAN CHECK NO: Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE L, CEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEKALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk.,9-%K­n1 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANN AND Fire Inspection .Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CffTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Receipt # 121-71;1 Recording Fee 1 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT' AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- CALL This application Is not a permit unfli signed by the TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABORXODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or hisftf DepLdy: and Fees are paid, and receipt Is acknovAedged In space provided. WORn!E�COMPENSA79f-Ift-"CE AND RCW 15.27. DATE 0:7 81 -$rTURE (OWN 0 (425) �NAE, 1k 771-0 220 RELEASED BY 7 DATE- ATTENTION Off 1333 q1j IT IS UNLAWFUL.,Tp USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1 � 14 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINALkX34t YELLW. IN4ECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK-OWNEn GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 01113 INEW z 0 0 m am C ms 0 C m m z C: 2 0 In M ml m 0 Fn a 0 z 0 0 m